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SAN J 0 AQ U I N Environmental Health Department <br /> - N .I <br /> Corrective Action Statement <br /> RE: September 27, 2021, Underground Storage Tank inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> ST JOSEPHS HOSPITAL, 1800 N CALIFORNIA ST, CERS ID: 10181391, PR0231036 <br /> Violation#209-Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. <br /> ❑ This violation was corrected 19 This violation will be corrected by(date): f o5 ! <br /> ❑ Supporting documents included * 4 <br /> Describe actions taken or will be taken to correct violation: W 1«,, t STA)6U`Zp4 (.N MAL. <br /> CAIN(Ak, ATS A W00 Ca►hK*CT. TWsk� CAA41A�S <br /> t <br /> 01 AMD 011t M Z-D O�MZ, <br /> Page 4 of 4 <br /> Rev.9/1612020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orgiEI-ID <br />